| NPI | 1104071158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE HURRLE DAVISSON Occupational Therapist 765-532-1269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |